NPI | 1396994380 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: KS 1702463) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: MO 2008001023) |
225XP0200X Occupational Therapist, Pediatrics (Licence: CA 8932) | |
Enumeration Date | 2008-09-15 |
Last Update Date | 2008-09-15 |